Harvey R Polk CAC

NPI 1043496938 - Counselor - 101YA0400X

NPI Details
NPI 1043496938
Gender Male
Enumeration Date 01/10/2008
Last Updated 01/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
212 MEDICAL DR
NATCHITOCHES LA, 71457-6052, US
Phone (318) 357-3283
Fax
Business Location
212 MEDICAL DR
NATCHITOCHES LA, 71457-6052, US
Phone (318) 357-3283
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Louisiana
License Number 1152
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According to our database, Harvey R Polk CAC NPI is 1043496938, taxonomy code is 101YA0400X and license number is 1152, license state is located at Louisiana. Harvey R Polk CAC physically located at 212 Medical Dr, Natchitoches LA, 71457-6052. NPI Number Harvey R Polk CAC has the Individual type.

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1043496938 NPI number is provided on an as is basis without warranty of any kind. 1043496938 is maintained by the National Plan & Provider Enumeration System. The contents of Harvey R Polk CAC are for informational purposes only.